The Impact of a Randomized Controlled Trial Testing the Implementation of Function-Focused Care in Assisted Living on Resident Falls, Hospitalizations, and Nursing Home Transfers

in Journal of Aging and Physical Activity

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Barbara Resnick
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Marie Boltz
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Elizabeth Galik
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Shijun Zhu
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The purpose of this study was to test the impact of function-focused care on adverse outcomes in assisted living. This was a randomized trial including 85 settings. The age of the 794 recruited participants was 89.48 (SD = 7.43) years, the majority was female (n = 561, 71%) and White (n = 771, 97%). The percentage of residents in the treatment group experiencing a fall decreased at 12 months from 26% to 20% and the control group increased from 24% to 25%, p = .02. A greater percentage of residents in the treatment group transferred to nursing facilities at 4 months (4–1% in control vs. 4–5% in treatment, p = .02) and 12 months (4–2% in control and 4–7% in treatment, p = .01). There was no treatment effect on emergency room or hospital transfers. The findings support the safety of function-focused care related to falls and need for hospital transfers.

Resnick, Galik, and Zhu are with the University of Maryland School of Nursing, Baltimore, MD, USA. Boltz is with the Pennsylvania State University College of Nursing, University Park, PA, USA.

Resnick (barbresnick@gmail.com, Resnick@umaryland.edu) is corresponding author.
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